<table border="0" width="100%">
    <tr class="myRowHeader">
        <td colspan="3">
            &nbsp;HUBUNGI KAMI
        </td>
    </tr>
    <tr>
        <td>Nama</td>
        <td>&nbsp;:&nbsp;</td>
        <td>
            <input type="text" style="width: 200" name="txtNama" id="txtNama" />
        </td>
    </tr>
    <tr>
        <td>No&nbsp;Hp</td>
        <td>&nbsp;:&nbsp;</td>
        <td>
            <input type="text" style="width: 200" name="txtNoHp" id="txtNoHp" />
        </td>
    </tr>
    <tr>
        <td>Email</td>
        <td>&nbsp;:&nbsp;</td>
        <td>
            <input type="text" style="width: 200" name="txtEmail" id="txtEmail" />
        </td>
    </tr>
    <tr>
        <td>Hal</td>
        <td>&nbsp;:&nbsp;</td>
        <td>
            <input type="text" style="width: 200" name="txtHal" id="txtHal" />
        </td>
    </tr>
    <tr>
        <td>Detail</td>
        <td>&nbsp;:&nbsp;</td>
        <td>
            <textarea name="txtDetail" id="txtDetail" rows="5" cols="50"></textarea>
        </td>
    </tr>
    <tr>
        <td colspan="3">
            <button type="button" name="btKirim" id="btKirim" onclick="fnKirim()">Kirim</button>
            <button type="button" name="btBatal" id="btBatal">Batal</button>
        </td>
    </tr>
</table>
